Individual provider · Type 1 NPI

Tracy Marie Custis Raynor, PHARM D

Pharmacist · Atkinson, NC

NPI number 1346320298 Active

Practice location

124 W. Main Street
Atkinson, NC 28421-2842

Mailing address

174 Foy Lockamy Rd
Jacksonville, NC 28540

Other practice locations

  • 2200 Gumbranch Rd, Suite 1, Jacksonville, NC 28540 · (910) 938-0582

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X13934 (NC)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1346320298

Tracy Marie Custis Raynor, PHARM D's National Provider Identifier is 1346320298, issued on Oct 16, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Atkinson, NC. The record was last updated on Sep 11, 2020.